RENEE A VADEBONCOEUR DNP FNP-BC NPI 1659320240

NPI Information

NPI: 1659320240
Provider Name: RENEE A VADEBONCOEUR, DNP, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: UNIVERSITY OF UTAH ADULT SERVICES

PECOS Registration: Yes

Address:
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2121
Get Directions

Renee A Vadeboncoeur, DNP, FNP-BC is a family nurse practitioner in Salt Lake City, UT with 22 years of experience. Renee A Vadeboncoeur, DNP, FNP-BC NPI is 1659320240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 581-2121

The NPI 1659320240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 12/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	223122-4405	UTAH	No
2	363LP0200X	Nurse Practitioner	Pediatrics	223122-4405	UTAH	No
3	363LF0000X	Nurse Practitioner	Family	223122-4405	UTAH	Yes
4	363L00000X	Nurse Practitioner		223122-4405	UTAH	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	806407400	MEDICAID	IDAHO
2	9461	OTHER		UNIVERSITY HEALTH PLANS
3	100503073	MEDICAID	NEVADA
4	D4591	MEDICAID	UTAH
5	NP655UT	MEDICAID	ALASKA
6	29303796	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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